| NPI | 1467190553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY ARMSTRONG Owner 602-434-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 106S00000X Behavior Technician | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-07-12 |